Family Functioning and Psychological Health of Children with Mentally Ill Parents

Wiegand-Grefe, Silke; Sell, Marlit; Filter, Bonnie; Plass-Christl, Angela

doi:10.3390/ijerph16071278

Cited by 54 publications

(51 citation statements)

References 46 publications

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“…Caregiving skills were not measured in this trial but we found a significant effect upon family functioning, indicating that an increased level of functioning is related to a higher probability of using any type of health or social service and of incurring costs in the first part of the model. Family functioning is known to be correlated with the mental health of COPMI [ 42 ], which is also true for our sample (r = 0.344, p < 0.001), indicating a good resilience in participating children. Further investigations about resilience in COPMI and the influence of individual and family functioning on costs are needed.…”

Section: Discussionsupporting

confidence: 72%

Costs of health and social services use in children of parents with mental illness

Waldmann

Stiawa

Dinc

et al. 2021

Child Adolesc Psychiatry Ment Health

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Background Children of parents with mental illness have a higher risk of developing mental health problems when compared with the general population. Therefore, families with parents with mental illness are a suitable target group for selective prevention. In order to plan and evaluate the health economic consequences of preventive interventions for this target group, data on the societal costs related to parenthood under the condition of mental disorders are needed. To date, within Germany there has been a lack of research evaluating the costs of mental health treatment and use of social services by children and adolescents with parents with mental illness. Methods As part of a multicentre randomised controlled trial, use and costs of health and social services were assessed for a sample of 332 children and adolescents with parents with mental illness in six regions of Germany. Service use at baseline was assessed by the German version of the Children and Adolescent Mental Health Service Receipt Inventory. Costs were calculated for 12 months based on diagnosis and service user status and described separately. Cost drivers were identified by means of a two-part regression model. Results Total mean costs for 12 months for the total sample amount of € 3736.35 (95% CI: € 2816.84–4813.83) per person. Children with a psychiatric diagnosis generated a total of € 5691.93 (95% CI: € 4146.27–7451.38) of costs per person, compared to € 1245.01 (95% CI: € 657.44–1871.49) for children without a psychiatric diagnosis. The logit part indicates significant odds ratios for individual functioning and diagnosis of the child as well as for family functioning. The linear part reveals that increasing individual functioning in the child is related to decreasing costs. Conclusions Children of families with parents with mental illness use a broad spectrum of mental health care, school-based support and youth welfare services even if they are not yet diagnosed as having a mental disorder. Further research should examine whether these institutions are sufficiently qualified and interlinked to meet the support needs of this vulnerable group. Trial registration The study was registered at the 07/10/2014 before the start of data collection (04/11/2014) at the German clinical trials register (Deutsches Register Klinischer Studien, DRKS, nr: DRKS00006806, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00006806).

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Section: Discussionsupporting

confidence: 72%

Costs of health and social services use in children of parents with mental illness

Waldmann

Stiawa

Dinc

et al. 2021

Child Adolesc Psychiatry Ment Health

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“…Opposite these risk factors, specific protective factors have been identified. These are e.g., primarily positive relationships inside and outside the family, information about the parental disease which is adequate for the children's age and development, adequate individual and familial coping strategies, and supporting parental and family dynamics ( 12 – 14 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Family-Based Intervention Program for Children of Mentally Ill Parents: Study Protocol for a Randomized Controlled Multicenter Trial

et al. 2021

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Background: Children of mentally ill parents have a three to seven times higher risk of developing mental disorders compared to the general population. For this high-risk group, specialized prevention and intervention programs have already been developed. However, there has been insufficient sytematic evaluation to date. Moreover, effectiveness and the cost-effectiveness data of the respective programs until today is very scarce and at the same time constitutes the pre-condition for the program's implementation into regular health care.Methods: The study consists of a two-group randomized controlled multicenter trial conducted at seven study sites throughout Germany and Switzerland. Participants are families with mentally ill parents and their children aged from 3 to 19 years. The intervention comprises 6 to 8 semi-structured sessions over a period of about 6 months. Topics discussed in the intervention include parental mental illness, coping, family relations and social support. Families in the control condition will receive treatment as usual. The children's mental health, assessed using the K-SADS-PL by blinded external raters will constitute the primary efficacy outcome. Further outcomes will be assessed from the parents' as well as from the children's perspectives. Participants are investigated at baseline, 6, 12, and 18 months after baseline assessment. In addition to the assessment of various psychosocial outcomes, a comprehensive health-economic evaluation will be performed.Discussion: This paper describes the evaluation of a family-based intervention program for children of mentally ill parents (CHIMPs) in the regular health care system in Germany and Switzerland. A methodically sophisticated study design has been developed to reflect the complexity of the actual health care situation. This trial will contribute to the regular health care for the high-risk group of children of mentally ill parents.Clinical Trial Registration:www.ClinicalTrials.gov, identifier NCT02308462; German Clinical Trials Register: DRKS00006806.

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“…Furthermore, when subjects enjoy a good mood and good emotional health, relationships with their parents and peer groups will be more fruitful. In some research it has been found that dysfunctionalities in social and family relationships greatly affect individuals, causing various behavioral and emotional problems [37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Dimensions of Quality of Life in Colombian University Students: Structural Equation Analysis

Arcila-Arango

Castro-Sánchez

Espoz-Lazo³

et al. 2020

IJERPH

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The aim of the present study was to define and contrast a explicative model of the relationship between the variables of quality of life that make up the KIDSCREEN-52 questionnaire. Methods: A total of 1641 Colombian university students aged between 17 and 18 years (17.69 + 0.490) participated in this research (61.2% males and 38.8% females) analyzing the dimensions of the KIDSCREEN-52 quality of life questionnaire. A model of structural equation was made and adjusted (χ2 = 118.021; DF = 6; p < 0.001; CFI = 0.953; NFI = 0.951; IFI = 0.954; RMSEA = 0.076). Results: The analyzed dimensions of quality of life were related in a positive and direct way, except for the Parent Relationship and Family Life (Family L.) with Social Acceptance (Social A.), which were associated in a negative and indirect manner. Conclusions: The main conclusion of this investigation is that all dimensions of quality of life associate in a positive manner with the exception of Parent Relationship and Family Life (Family L.) which associated with Social Acceptance (Social A.). The qualities improve together, highlighting the idea that working on any of the areas that comprise quality of life will cause development of the remaining areas.

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Family Functioning and Psychological Health of Children with Mentally Ill Parents

Cited by 54 publications

References 46 publications

Costs of health and social services use in children of parents with mental illness

Costs of health and social services use in children of parents with mental illness

Evaluation of a Family-Based Intervention Program for Children of Mentally Ill Parents: Study Protocol for a Randomized Controlled Multicenter Trial

Analysis of the Dimensions of Quality of Life in Colombian University Students: Structural Equation Analysis

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